Care of Arthritis in the Older Adult (Springer Series on Geriatric Nursing)

235 Pages·2002·9.76 MB·English

by  Ann Schmidt Luggen CS BC-ARNP CNAA PhD RN MSN

Springer Series on Geriatric Nursing
Mathy D. Mezey, EdD, RN, FAAN, Series Editor
New York University Division of Nursing
Advisory Board: Margaret Dimond, PhD RN, FAAN; Steven H. Ferris,
PhD; Terry Fulmer, PhD RN, FAAN; Linda Kaeser, PhD RN, ACSW, FAAN;
Virginia Kayser-Jones, PhD RN, FAAN; Eugenia Siegler, MD; Neville E.
Strumpf, PhD RN, FAAN; May Wykle, PhD RN, FAAN; Mary K. Walker,
PhD, RN, FAAN
2002 Care of Arthritis in the Older Adult
Ann Schmidt Luggen, PhD, RN, MSN, CS, BC-ARNP, CNAA, and
Sue E. Meiner, EdD, APRN, BC, GNP
2001 Critical Care Nursing of the Elderly, Second Edition
Terry Fulmer, PhD, RN, FAAN, Marquis D. Foreman, PhD RN, FAAN,
Mary Walker, PhD, RN, FAAN, and Kristen S. Montgomery, PhD, RNC,
IBCEC
1999 Geriatric Nursing Protocols for Best Practice
Ivo Abraham, PhD, RN, FAAN, Melissa M. Bottrell, MPH, Terry T. Fulmer,
PhD, RN, FAAN, and Mathy D. Mezey, EdD, RN, FAAN
1998 Home Care for Older Adults: A Guide for Families and Other
Caregivers—Text and Instructor's Manual/Lesson Plan
Mary Ann Rossivurm, EdD, RN, CS, FAAN
1998 Restraint-Free Care: Individualized Approaches for Frail Elders
Neville E. Strumpf, PhD, RN, C, FAAN, Joanne Patterson Robinson, PhD,
RN, Joan Stockman Wagner, MSN, CRNP, and Lois K. Evans, DNSc, RN,
FAAN
1996 Gerontology Review Guide for Nurses
Elizabeth Chapman Shaid, RN, MSN, CRNP, and Kay Huber, DEd, RN,
CRNP
1995 Strengthening Geriatric Nursing Education
Terry T. Fulmer, PhD, RN, FAAN, and Marianne Matzo, PhD, RN, CS
1994 Nurse-Physician Collaboration: Care of Adults and the Elderly
Eugenia L. Siegler, AM, and Fay W. Whitney, PhD, RN, FAAN
1993 Health Assessment of the Older Individual, Second Edition
Mathy Doval Mezey, EdD, RN, FAAN, Shirlee Ann Stokes, EdD, RN, FAAN,
and Louise Hartnett Rauckhorst, EdD, RNC, ANP
1992 Critical Care Nursing of the Elderly
Terry T. Fulmer, PhD, RN, FAAN, and Mary K. Walker, PhD, RN, FAAN
Ann Schmidt Luggen, PhD, RN, MSN, CS, BC-
ARNP, CNAA, is Professor of Nursing at North-
ern Kentucky University. She has a doctoral degree
in gerontology and oncology nursing, and a mas-
ter's degree in oncology nursing, both from the
University of Cincinnati. She has also completed
a post-master's Geriatric Nurse Practitioner Pro-
gram at Northern Kentucky University. Dr.
Luggen is past President of the National Geronto-
logical Nursing Association, and past Editor of its
national newsletter. She is currently President of
the Ohio Geriatric Nurse Practitioner Association,
and serves on several boards, such as Cincinnati's Nurse Executives, and
on the Greater Cincinnati Gerontological Nursing Association. She has writ-
ten numerous journal articles and books, including NGNA Core Curriculum
for Gerontological Nursing, which won an AJN Book-of-the-Year award. She
lives on a farm in Cincinnati, Ohio with her son and husband, who is a
rheumatologist.
Sue E. Meiner, EdD, APRN, BC, GNP, is an As-
sistant Professor of Nursing at the University of
Nevada-Las Vegas, and a Gerontological Nurse
Practitioner at the Clark County Health District
in Las Vegas. She received her BSN and MSN
degrees at St. Louis University (Missouri), her EdD
at Southern Illinois University at Edwardsville,
and certification as a Gerontological Nurse Prac-
titioner at Jewish Hospital College of Nursing in
St. Louis, Missouri. Prior to her current positions
she was Project Director for an NIH and NLA grant
at Washington University in St. Louis, School of
Medicine, and Associate Professor at the Jewish Hospital College of Nurs-
ing and Allied Health. Dr. Meiner authored the book, Nursing Documenta-
tion: Legal Focus Across Practice Settings. She is co-author with Ann Luggen
of three previous books, NGNA Core Curricula for both gerontological
nurses and gerontological advanced practice nurses, and Handbook for the
Care of the Older Adult With Cancer. She is also the author of numerous book
chapters and journal articles. Dr. Meiner held an elected political office in
St. Louis County for five years in the 1980s and remains active in commu-
nity service.
Care of
Arthritis
in the
Older Adult
Ann Schmidt Luggen
Sue E. Meiner
Editors
Springer Publishing Company
Copyright © 2002 by Springer Publishing Company, Inc.
All rights reserved
No part of this publication may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means, electronic, me-
chanical, photocopying, recording, or otherwise, without the prior per-
mission of Springer Publishing Company, Inc.
Springer Publishing Company, Inc.
536 Broadway
New York, NY 10012-3955
Acquisitions Editor: Ruth Chasek
Production Editor: Jeanne Libby
Cover design by Joanne E. Honigman
01 02 03 04 05 / 5 4 3 2 1
Library of Congress Cataloging-in-Publication-Data
Care of arthritis in the older adult / Ann Schmidt Luggen,
Sue E. Meiner, editors.
p. cm.—(Springer series on geriatric nursing)
Includes bibliographical references and index.
ISBN 0-8261-2362-7
1. Arthritis-Nursing. 2. Geriatric nursing. I. Luggen, Ann
Schmidt. II. Meiner, Sue. III. Series.
RC933 C366 2002
618.97'6722—dc21
2002020929
Printed in Canada by Tri-Graphic.
I dedicate this book to my husband, Michael, who is a rheumatologist,
and who has helped me understand the depth and complexity of these
many diseases, the arthridites. Further, he has helped me over the
years with most of my books, reviewing and critiquing, and was most
helpful in reviewing this book.
—Ann Schmidt Luggen
As I was growing up, I watched my grandmother and mother deal
with arthritis. Since becoming a nurse nearly 40 years ago, I have
cared for thousands of adults with arthritis. Now in my late fifties, I
have arthritis. Writing and editing this book was an important com-
ponent of my personal growth through exploring all avenues of infor-
mation related to the many facets of this disease. I dedicate this book
to all of those people who have been touched by arthritis personally or
through family, friends, patients, or acquaintances. I hope a cure for
musculoskeletal disorders will occur in the coming decades. In the
meantime, this book will provide salient information to those seeking
knowledge of caring for the older adult with arthritis.
—Sue E. Meiner
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Contents
Contributors ix
Foreword by Priscilla Ebersole xi
1 Introduction 1
Ann Schmidt Luggen and Sue E. Meiner
Part I: Arthritic Diseases and Related Conditions
2 Osteoarthritis 11
Patricia Birchfield
3 Rheumatoid Arthritis 29
Ann Schmidt Luggen
4 Gouty Arthritis 53
Sue E. Meiner
5 Polymyalgia Rheumatica and Giant Cell Arteritis 65
Laurie Kennedy-Malone
6 Cervical and Lumbar Disk Problems 77
Sue E. Meiner
7 Osteoporosis 87
Patricia Mezinskis
Part II: Managing Arthritis
8 Assessing and Managing Pain 107
Ann Schmidt Luggen
9 Exercise and Physical Therapy 131
Barbara Resnick
vn
viii Contents
10 Patient Teaching Tools and Self-Help Techniques: Focus
on Cultural Diversity 155
Ann Mabe Newman
11 Quality of Life Issues 171
Phyllis J. Atkinson
12 Alternative and Complementary Therapies 181
Mary R. Painter-Romanello
13 Participating in Sports with Arthritis 189
Catherine A. Hill
Index 205
Contributors
Phyllis J. Atkinson, MS, RN, CS, Patricia Mezinskis, MSN, RN, CS
GNP Associate Professor
St. Elizabeth Medical Center University of Cincinnati
Family Practice Center Raymond Walters College
Edgewood, Kentucky Cincinnati, Ohio
Patricia Birchfield, DSN, ARNP, Ann Mabe Newman, DSN, RN, CS
CS, GNP Associate Professor of Nursing
Professor Adjunct Associate Professor of
Eastern Kentucky University Women's Studies
Lexington, Kentucky University of North Carolina at
Charlotte
Catherine A. Hill, MSN, RN, Charlotte, North Carolina
CS, ONC, CEN
Medicine Associates of North Mary R. Painter-Romanello, MSN,
Texas RN, GNP
School of Nursing Adult/Geriatric Nurse Practitioner
University of Texas at Arlington Good Samaritan Hospital
Arlington, Texas Cincinnati, Ohio
Laurie Kennedy-Malone, PhD, Barbara Resnick, PhD, CRNP,
RN, CS FAAN, FAANP
Associate Professor, School of Associate Professor
Nursing University of Maryland School of
University of North Carolina at Nursing
Greensboro Baltimore, Maryland
Greensboro, North Carolina
ix